National Provider Identifier [NPI]: |
1568556413 |
Last Name Of The Provider |
CHANG |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1867 E FIR AVE STE 104 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203808 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
10497 |
Number Of Medicare Beneficiaries |
3054 |
Total Submitted Charge Amount |
846859.4 |
Total Medicare Allowed Amount |
232459.97 |
Total Medicare Payment Amount |
189472.36 |
Total Medicare Standardized Payment Amount |
182346.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5909 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
5941 |
Total Drug Medicare AllowedAmount |
1294.09 |
Total Drug Medicare PaymentAmount |
1014.37 |
Total Drug Medicare Standardized Payment Amount |
1014.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
4588 |
Number Of Medicare Beneficiaries With Medical Services |
3054 |
Total Medical Submitted Charge Amount |
840918.4 |
Total Medical Medicare Allowed Amount |
231165.88 |
Total Medical Medicare Payment Amount |
188457.99 |
Total Medical Medicare Standardized Payment Amount |
181331.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
496 |
Number Of Beneficiaries Age 65 to 74 |
1214 |
Number Of Beneficiaries Age 75 to 84 |
890 |
Number Of Beneficiaries Age Greater 84 |
454 |
Number Of Female Beneficiaries |
2053 |
Number Of Male Beneficiaries |
1001 |
Number Of Non Hispanic White Beneficiaries |
1863 |
Number Of Black or African American Beneficiaries |
168 |
Number Of AsianPacific Islander Beneficiaries |
224 |
Number Of Hispanic Beneficiaries |
743 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1818 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1236 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7102 |